SHAN H SIDDIQI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150923

License Status

NOT RENEWED

Business

Title

First Name

SHAN

Middle

Last Name

SIDDIQI

Business Name

SHAN H SIDDIQI MD

Original Issue Date

10/02/2019

Effective Date

10/21/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026